Pinon Healthcare, LLC
Family Medicine, Sleep Medicine in Farmington, NM. Organization (NPI-2).
NPI number1003464652
StatusActive
Last updated in NPPESAug 27, 2019
Details
- NPI
- 1003464652
- Entity type
- Organization (NPI-2)
- Legal business name
- Pinon Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2019
- Last updated
- Aug 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS1201X | Family Medicine, Sleep Medicine | – | – | Yes |
Practice location
904 E 20th St Ste BFarmington, NM 87401-4281
Phone 505-787-2680 · Fax 505-787-2668
Mailing address
Po Box 166Farmington, NM 87499-0166
Phone 505-787-2680 · Fax 505-787-2668
Authorized official
Dikilyn Tyson
Owner
5058605180
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